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Low-Intensity Physical Exercise Improves Pain Catastrophizing and Other Psychological and Physical Aspects in Women with Fibromyalgia: A Randomized Controlled Trial

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  • Ruth Izquierdo-Alventosa

    (Unidad de Biomecánica Clínica (UBIC Research Group), Department of Physiotherapy, Faculty of Physiotherapy, Universitat de València, 46010 València, Spain
    These two authors contributed equally to this work.)

  • Marta Inglés

    (Freshage Research Group, Department of Physiotherapy, Faculty of Physiotherapy, Universitat de València, Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable (CIBERFES-ISCIII), Fundación Investigación del Hospital Clínico Universitario de Valencia (INCLIVA), 46010 València, Spain
    These two authors contributed equally to this work.)

  • Sara Cortés-Amador

    (Unidad de Biomecánica Clínica (UBIC Research Group), Department of Physiotherapy, Faculty of Physiotherapy, Universitat de València, 46010 València, Spain)

  • Lucia Gimeno-Mallench

    (Freshage Research Group, Department of Physiology, Faculty of Medicine, Universitat de València, Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable (CIBERFES-ISCIII), Fundación Investigación del Hospital Clínico Universitario de Valencia (INCLIVA), 46010 València, Spain)

  • Javier Chirivella-Garrido

    (Fundación Fivan, Centro de Neurorehabilitación, 46005 Valencia, Spain)

  • Juri Kropotov

    (N.P. Bechtereva Institute of Human Brain, Russian Academy of Science, 197022 St. Petersburg, Russia)

  • Pilar Serra-Añó

    (Unidad de Biomecánica Clínica (UBIC Research Group), Department of Physiotherapy, Faculty of Physiotherapy, Universitat de València, 46010 València, Spain)

Abstract

Fibromyalgia (FM) is a chronic syndrome characterized by widespread pain and other physical and psychological features. In this study, we aimed to analyze the effect of a low-intensity physical exercise (PE) program, combining endurance training and coordination, on psychological aspects (i.e., pain catastrophizing, anxiety, depression, stress), pain perception (i.e., pain acceptance, pressure pain threshold (PPT), and quality of life and physical conditioning (i.e., self-perceived functional capacity, endurance and functional capacity, power and velocity) in women with FM. For this purpose, a randomized controlled trial was carried out. Thirty-two women with FM were randomly allocated to a PE group (PEG, n = 16), performing an eight-week low-intensity PE program and a control group (CG, n = 16). Pain catastrophizing, anxiety, depression, stress, pain acceptance, PPT, quality of life, self-perceived functional capacity, endurance and functional capacity, power, and velocity were assessed before and after the intervention. We observed a significant improvement in all studied variables in the PEG after the intervention ( p < 0.05). In contrast, the CG showed no improvements in any variable, which further displayed poorer values for PPT ( p < 0.05). In conclusion, a low-intensity combined PE program, including endurance training and coordination, improves psychological variables, pain perception, quality of life, and physical conditioning in women with FM.

Suggested Citation

  • Ruth Izquierdo-Alventosa & Marta Inglés & Sara Cortés-Amador & Lucia Gimeno-Mallench & Javier Chirivella-Garrido & Juri Kropotov & Pilar Serra-Añó, 2020. "Low-Intensity Physical Exercise Improves Pain Catastrophizing and Other Psychological and Physical Aspects in Women with Fibromyalgia: A Randomized Controlled Trial," IJERPH, MDPI, vol. 17(10), pages 1-15, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3634-:d:361499
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    References listed on IDEAS

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    1. Maria Bernadete Renoldi Oliveira Gavi & Dalton Valentin Vassalo & Fabian Tadeu Amaral & Danielle Constância Felício Macedo & Pablo Lúcio Gava & Eduardo Miranda Dantas & Valéria Valim, 2014. "Strengthening Exercises Improve Symptoms and Quality of Life but Do Not Change Autonomic Modulation in Fibromyalgia: A Randomized Clinical Trial," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-8, March.
    2. Brian Walitt & Richard L Nahin & Robert S Katz & Martin J Bergman & Frederick Wolfe, 2015. "The Prevalence and Characteristics of Fibromyalgia in the 2012 National Health Interview Survey," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-16, September.
    3. Núria Sempere-Rubio & Marta Aguilar-Rodríguez & Marta Inglés & Ruth Izquierdo-Alventosa & Pilar Serra-Añó, 2019. "Physical Condition Factors that Predict a Better Quality of Life in Women with Fibromyalgia," IJERPH, MDPI, vol. 16(17), pages 1-11, August.
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    Cited by:

    1. Cecilia Peñacoba & Carmen Ecija & Lorena Gutiérrez & Patricia Catalá, 2023. "Does Pain Acceptance Contribute to Improved Functionality through Walking in Women with Fibromyalgia? Looking at Depressive Comorbidity," IJERPH, MDPI, vol. 20(6), pages 1-12, March.
    2. Bruna Ornelas da Costa & Luana Siqueira Andrade & Cíntia Ehlers Botton & Cristine Lima Alberton, 2023. "Effects of a Telehealth Stretching Exercise Program on Pain, Sleep, Depression, and Functionality of Women with Fibromyalgia during the COVID-19 Pandemic: A Randomized Clinical Trial," Sustainability, MDPI, vol. 15(3), pages 1-16, February.
    3. Ignacio Hernando-Garijo & Luis Ceballos-Laita & María Teresa Mingo-Gómez & Ricardo Medrano-de-la-Fuente & Elena Estébanez-de-Miguel & María Natividad Martínez-Pérez & Sandra Jiménez-del-Barrio, 2021. "Immediate Effects of a Telerehabilitation Program Based on Aerobic Exercise in Women with Fibromyalgia," IJERPH, MDPI, vol. 18(4), pages 1-12, February.

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